NC0084832_Fact Sheet_20220812

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require full Fact
Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc)
that can be administratively renewed with minor changes, but can include facilities with more complex
issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance
concerns).
Basic Information for Expedited Permit Renewals
Permit Writer / Date
Siying Chen 4/11/2022
Permit Number
NC0084832
Facility Name /Facility Class
Nikola's Restaurant & High Meadows Inn
WWTP / WW-2
County / Regional Office
Alleghany / WSRO
Basin Name / Sub -basin number
New / 05-07-03
Receiving Stream / HUC
Laurel Branch (Laurel Creek) / 050500010405
Stream Classification / Stream Segment
C-Trout / 10-9-10-2
Does permit need Daily Maximum NH3 limits?
No — already present
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing? IWC (%) if so
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Yes, for DO and temperature
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
Three NODs during the permit cycle
Any permit mods since last permit?
Added WWTP classification
Updated eDMR requirements
Updated facility address
Updated outfall map
New expiration date
3/31/2026
Comments on Draft Permit?
No comment received on draft permit
Most Commonly Used Expedited Language:
• 303(d) lan2ua2e for Draft/Final Cover Letters: "Please note that the receiving stream is listed
as an impaired waterbody on the North Carolina 303(d) Impaired Waters List. Addressing
impaired waters is a high priority with the Division, and instream data will continue to be
evaluated. If there is noncompliance with permitted effluent limits and stream impairment can
be attributed to your facility, then mitigative measures may be required".
• TRC lan2ua2e for Compliance Level for Cover Letters/Effluent Sheet Footnote: "The
facility shall report all effluent TRC values reported by a NC certified laboratory including field
certified. However, effluent values below 50 µg/1 will be treated as zero for compliance
purposes."
Fact Sheet for Permit Renewal
April 2022 -- NPDES Permit NC0084832 - Page 1

Section 1. Facility Overview:
This facility is a minor facility (flow < 1 MGD) discharging 100% domestic wastewater with a design
capacity of 0.025 MGD. This WWTP utilizes the following treatment components:
• Aeration basin with diffused air
• Secondary clarifier with sludge air lifts and in -plant pumps
• Chlorination
• Dechlorination
Section 2. Compliance History (August 2016 — April 2022):
• One NOD for BOD5 limit violation in November 2018.
• One NOD for flow limit violation in November 2019.
• One NOD for ammonia nitrogen and BOD5 limit violation in September 2021.
Section 3. Changes from previous permit to draft:
• Added facility grade in A. (1).
• Updated eDMR footnote in A. (1) and language in A. (2).
• Updated facility addresses on cover sheet and supplement to permit cover sheet.
• Updated outfall map.
Section 4. Comments received on draft permit:
• No comment received on draft permit.
Section 5. Changes from draft to final:
• No change to final permit.
Fact Sheet for Permit Renewal
April 2022 -- NPDES Permit NC0084832 - Page 2

PUBLIC NOTICE
NORTH CAROLINA
ENVIRONMENTAL
MANAGEMENT
COMMISSION/NPDES
UNIT
1617 MAIL SERVICE
CENTER
RALEIGH, NC 27699-1617
NOTICE OF INTENT
TO ISSUE A NPDES
WASTEWATER PERMIT
NC0084832 NIKOLA'S
RESTAURANT WWTP
The North Carolin4
Environmental Management
Commission proposes to issue
a NPDES wastewater discharge
permit to the person(s) listed
below. Written comments
regarding the proposed permit
will be accepted until 30 days
after the publish date of this
notice. The Director of the NC
Division of Water Resources
(DWR) may hold a public
hearing should there be a
significant degree of public
interest. Please mail comments
and/or information requests
to DWR at the above address.
Interested persons may visit
the DWR at 512 N. Salisbury
Street, Raleigh, NC 27604 to
[
review information on file.
Additional information on
NPDES permits and this notice
may be found on our website:
http://deq.nc.gov/about/
divisions/water-resources/
water -resources -permits/
wastewater-branch/npdes-
wastewater/public-notices ,or
by calling [phone].
Nikolas Restaurant & High
Meadows Inn, LLC (P.O. Box
222, Roaring Gap, NC 28668)
has applied for renewal of
NPDES permit NC0084832
for the Nikola's Restaurant &
High Meadows Inn Wastewater
Treatment Plant in Alleghany
County. This permitted facility
discharges treated domestic
wastewater to Laurel Branch
in the New River Basin.
Currently, ammonia nitrogen,
fecal coliform, total residual
chlorine, and oil and grease are
water quality limited, which
may affect future wasteload
allocations in this portion of
the New River Basin.
5-25-1tc
NORTH CAROLINA
ALLEGHANY COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said
County and State, duly commissioned, qualified and
authorized by law to administer oaths, personally
appeared
coy
ZQ/cUe...,
Who being first dulS sworn, deposes and says that he
(she) is
P;iLlt,sh,
(owner, partner, publisher, or other officer employee
authorized to make this affidavit) of The Alleghany
News (name of publishing concern) engaged in the
publicatio of a newspaper known as The Alleghany
News (name of newspaper) published, issued, and en-
tered as second class mail in the City of Sparta in said
County and State; that he (she) is authorized to make
this affidavit and sworn statement; that the notice
or other legal advertisements, a true copy of which
is attached hereto, was published in The Alleghany
News (name of newspaper) on the following dates
3 "-
d that the said newspaper in which such notice,
er, document, or legal advertisement was published
s, at the time of each and every such publication,
a newspaper meeting all of the requirements and
qualifications of Section 1-597 of the General Statutes
of North Carolina and was a qualified newspaper
within the meaning of Section of 1-597 of the General
Statutes of North Carolina.
(signature of person making affidavit)
Sworn to and subscribed before the
this day of rfM1 I 20
My Commission expires

NH3/TRC WLA Calculations
Facility: Nikola's Restaurant & High Meadows Inn WWTP
PermitNo. NC0084832
Prepared By: Siying Chen
Enter Design Flow (MGD):
Enter s7Q10 (cfs):
Enter w7Q10 (cfs):
0.025
0.5
0.8
Total Residual Chlorine (TRC)
Daily Maximum Limit (ug/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (UG/L)
Upstream Bkgd (ug/I)
IWC (%)
Allowable Conc. (ug/I)
Fecal Coliform
Monthly Average Limit:
(If DF >331; Monitor)
(If DF<331; Limit)
Dilution Factor (DF)
0.5
0.025
0.03875
17.0
0
7.19
236
Ammonia (Summer)
Monthly Average Limit (mg NH3-N/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Ammonia (Winter)
Monthly Average Limit (mg NH3-N/I)
w7Q10 (CFS)
200/100m1 DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
13.90 Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Total Residual Chlorine
1. Cap Daily Max limit at 28 ug/I to protect for acute toxicity
Ammonia (as NH3-N)
1. If Allowable Conc > 35 mg/I, Monitor Only
2. Monthly Avg limit x 3 = Weekly Avg limit (Municipals)
3. Monthly Avg limit x 5 = Daily Max limit (Non-Munis)
If the allowable ammonia concentration is > 35 mg/L, no limit shall be imposed
0.5
0.025
0.03875
1.0
0.22
7.19
11.1
0.8
0.025
0.03875
1.8
0.22
4.62
34.4
Fecal Coliform
1. Monthly Avg limit x 2 = 400/100 ml = Weekly Avg limit (Municipals) = Daily Max limit (Non -Muni)

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 04/12/22 Page 1 01 4
Permit: nc0084832 MRs Betweei 8 - 2016 and 4 - 2022
Facility Name: % Param Nam( %
Major Minor: %
Region: %
County: %
Violation Category:%
Subbasin:%
Program Category:
Violation Action: %
PERMIT: NC0084832
FACILITY: Zdenko Peros - Nikola's Restaurant WWTP
COUNTY: Alleghany
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL
REPORT
LOCATION
PARAMETER
VIOLATION
FREQUENCY UNIT OF
DATE MEASURE
LIMIT
CALCULATED
VALUE
Over
VIOLATION TYPE VIOLATION ACTION
11-2018 001
09-2021 001
09-2018 001
11-2019 001
09-2021 001
Monitoring Violation
MONITORING OUTFALL
REPORT
Effluent
Effluent
Effluent
Effluent
Effluent
LOCATION
BOD, 5-Day (20 Deg. C) -
Concentration
BOD, 5-Day (20 Deg. C) -
Concentration
Chlorine, Total Residual
Flow, in conduit or thru
treatment plant
Nitrogen, Ammonia Total (as
N) - Concentration
PARAMETER
11/30/18 Weekly
09/30/21 Weekly
09/11/18 2 X week
11/30/19 Weekly
09/30/21 Weekly
mg/I
mg/I
ug/I
mgd
mg/I
VIOLATION UNIT OF
FREQUENCY
DATE MEASURE
30
30
28
0.025
11
LIMIT
33.9
13.0
35.9 19.7
37 32.1
9,500 37,999,900
12.1 10.0
CALCULATED
VALUE
Over
Monthly Average
Exceeded
Monthly Average
Exceeded
Daily Maximum
Exceeded
Monthly Average
Exceeded
Monthly Average
Exceeded
Proceed to NOD
Proceed to NOD
No Action, BPJ
Proceed to NOD
Proceed to NOD
VIOLATION TYPE VIOLATION ACTION
02-2018 001
06-2018 001
11-2018 001
11-2018 001
08-2017 001
08-2017 001
08-2017 001
10-2017 001
10-2017 001
02-2018 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
BOD, 5-Day (20 Deg. C) -
Concentration
BOD, 5-Day (20 Deg. C) -
Concentration
BOD, 5-Day (20 Deg. C) -
Concentration
BOD, 5-Day (20 Deg. C) -
Concentration
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
02/03/18
06/02/18
11/03/18
11/24/18
Weekly
Weekly
Weekly
Weekly
08/12/17 2 X week
08/19/17 2 X week
08/26/17 2 X week
10/07/17 2 X week
10/21/17 2 X week
02/03/18 2 X week
mg/I
mg/I
mg/I
mg/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 04/12/22 Page 2 of 4
Permit: nc0084832
Facility Name:
Major Minor: %
MRs Betweei 8 - 2016 and 4 - 2022 Region: %
Param Nam( % County: %
Violation Category:%
Subbasin:%
Program Category: %
Violation Action: %
PERMIT: NC0084832
FACILITY: Zdenko Peros - Nikola's Restaurant WWTP
COUNTY: Allegheny
REGION: Winston-Salem
Monitoring Violation
MONITORING OUTFACE
REPORT
LOCATION
PARAMETER
VIOLATION
FREQUENCY UNIT OF
DATE MEASURE
LIMIT
CALCULATED
VALUE
Over
VIOLATION TYPE VIOLATION ACTION
02-2018 001
02-2018 001
06-2018 001
06-2018 001
06-2018 001
06-2018 001
09-2018 001
11-2018 001
11-2018 001
11-2018 001
11-2018 001
08-2020 001
05-2021 001
02-2018 001
06-2018 001
11-2018 001
11-2018 001
02-2018 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
02/10/18 2 X week
02/17/18 2 X week
06/02/18 2 X week
06/09/18 2 X week
06/16/18 2 X week
06/23/18 2 X week
09/01/18 2 X week
11/03/18 2 X week
11/10/18 2 X week
11/17/18 2 X week
11/24/18 2 X week
08/01/20 2 X week
05/01/21 2 X week
Coliform, Fecal MF, MFC 02/03/18 Weekly
Broth, 44.5 C
Coliform, Fecal MF, MFC 06/02/18 Weekly
Broth, 44.5 C
Coliform, Fecal MF, MFC 11/03/18 Weekly
Broth, 44.5 C
Coliform, Fecal MF, MFC 11/24/18 Weekly
Broth, 44.5 C
Flow, in conduit or thru 02/03/18 Weekly
treatment plant
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
#/100m1
#/10om1
#/100m1
#/100m1
mgd
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, Invalid
Permit
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 04/12/22 Page 3 of 4
Permit: nc0084832
Facility Name:
Major Minor: %
MRs Betweei 8 - 2016 and 4 - 2022 Region: %
Param Nam( % County: %
Violation Category:%
Subbasin:%
Program Category: %
Violation Action: %
PERMIT: NC0084832
FACILITY: Zdenko Peros - Nikola's Restaurant WWTP
COUNTY: Allegheny
REGION: Winston-Salem
Monitoring Violation
MONITORING OUTFACE
REPORT
LOCATION
PARAMETER
VIOLATION
FREQUENCY UNIT OF
DATE MEASURE
LIMIT
CALCULATED
VALUE
Over
VIOLATION TYPE VIOLATION ACTION
06-2018 001
11-2018 001
11-2018 001
02-2018 001
06-2018 001
11-2018 001
11-2018 001
02-2018 001
06-2018 001
11-2018 001
11-2018 001
02-2018 001
06-2018 001
11-2018 001
11-2018 001
02-2018 001
06-2018 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Flow, in conduit or thru
treatment plant
Flow, in conduit or thru
treatment plant
Flow, in conduit or thru
treatment plant
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Oxygen, Dissolved (DO)
Oxygen, Dissolved (DO)
Oxygen, Dissolved (DO)
Oxygen, Dissolved (DO)
pH
pH
pH
pH
Solids, Total Suspended -
Concentration
Solids, Total Suspended -
Concentration
06/02/18 Weekly
11/03/18 Weekly
11/24/18 Weekly
02/03/18
06/02/18
11/03/18
11/24/18
02/03/18
06/02/18
11/03/18
11/24/18
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
Weekly
02/03/18 Weekly
06/02/18 Weekly
11/03/18 Weekly
11/24/18 Weekly
02/03/18 Weekly
06/02/18 Weekly
mgd
mgd
mgd
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
su
su
su
su
mg/I
mg/I
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
Frequency Violation No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 04/12/22 Page 4 of 4
Permit: nc0084832 MRs Betweei 8 - 2016 and 4 - 2022 Region: % Violation Category:% Program Category: %
Facility Name: % Param Nam(% County: % Subbasin:% Violation Action: %
Major Minor: %
PERMIT: NC0084832
FACILITY: Zdenko Peros - Nikola's Restaurant WWTP
COUNTY: Allegheny
REGION: Winston-Salem
Monitoring Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
11-2018 001
11-2018 001
02-2018 001
06-2018 001
11-2018 001
11-2018 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Solids, Total Suspended -
Concentration
Solids, Total Suspended -
Concentration
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
11/03/18 Weekly
11/24/18 Weekly
02/03/18 Weekly
06/02/18 Weekly
11/03/18 Weekly
11/24/18 Weekly
mg/I
mg/I
deg c
deg c
deg c
deg c
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ

From:
To:
Cc:
Subject:
Date:
Stephanie Knott
Chen, Siyinq; Doreen Peros
Graznak, Jenny; Snider Lon; Weaver, Charles
[External] RE: NPDES Permit Issuance - Nikola"s Restaurant WWTP NC0084832
Friday, August 12, 2022 12:32:10 PM
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Thank you for this information. I will pass it along to the Operator. Let me know if I can be of any
further assistance. Thank you.
Stephanie Knott
Project Manager
1377 South Park Drive, Kernersville, NC 27284 I [phone]
Pace
NEW: PROCESS PAYMENTS ONLINE- click the link below
Online Bill Pay
From: Chen, Siying <[e-mail]>
Sent: Friday, August 12, 2022 11:44 AM
To: Doreen Peros <[e-mail]>
Cc: Stephanie Knott <[e-mail]>; Graznak, Jenny
<[e-mail]>; Snider, Lon <[e-mail]>; Weaver, Charles
<[e-mail]>
Subject: NPDES Permit Issuance - Nikola's Restaurant WWTP NC0084832
CAUTION: This email originated from outside Pace Analytical. Do not click links or open
attachments unless you recognize the sender and know the content is safe.
Hi Ms. Peros,
Attached is the final NPDES permit renewal for Nikola's Restaurant WWTP (NC0084832). The permit
will be effective on October 1, 2022.
Please respond to this email confirming that you received the attached document, were able to
open and view the document and have saved/printed a copy for your records.
Thank you!

Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist
Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality
Email: siying.chenc ncdenr.gov
Phone: [phone] (Office)
�EQ5NQfrf I i .01
+i
liaaaraliant al Earlforpriaalal
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
NOTICE-- The contents of this email and any attachments may contain confidential,
privileged, and/or legally protected information and are for the sole use of the addressee(s).
Any review or distribution by others is strictly prohibited. If you are not the intended recipient,
please contact the sender immediately and delete any copies.
Please consider the environment before printing this email

From: Doreen Peros
To: Chen, Siying
Subject: [External] Re: NPDES Permit Renewal - Electronic Distribution for Nikola's Restaurant & High Meadows Inn
WWTP
Tuesday, April 19, 2022 1:33:15 PM
Date:
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
We approve
On Thu, Apr 14, 2022 at 12:08 PM Chen, Siying <[e-mail]> wrote:
Hi Mr. Peros,
My name is Siying and I'm the permit writer who has been assigned to your NPDES permit
renewal for Nikola's Restaurant & High Meadows Inn WWTP (NC0084832).
In order to provide more convenience, control, and security to our permittees and assist them
in processing their transactions, The Division of Water Resources is currently transitioning
towards electronic correspondence. This will hopefully provide more efficient service to our
permittees and other partners and will allow us to more effectively process and track
documents. We are writing to ask you for your approval of the transmittal of documents
related to your permitting and related activities with the Division in an electronic
format. Documents will be emailed to the appropriate contact person(s) in your organization
in a PDF format.
Please respond to me through email with verification that transmittal of your
documents in an electronic manner is acceptable to you. If you have any questions,
please feel free to contact me.
Thank you!
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist
Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality

Email: [e-mail]
Phone: [phone] (Office)
pkom"
Q?)
t 11 41�1i+11a1 q..7 Lay
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

From: Snider. Lon
To: Chen, Siyinq; Graznak, Jenny
Cc: Corporon, Joe; Kinney, Maureen
Subject: RE: Draft NPDES Permit Review - NC0084832 Nikola's Restaurant & High Meadows Inn WWTP
Date: Wednesday, May 4, 2022 3:01:37 PM
Attachments: image002.png
Siying, below is how the ORC/ BORC will be set up. They are signing the proper forms and sending
them in this week.
NC0084832 Nickola's Restaurant and High Meadows Inn WWTP
ORC — Glen Price WW-2 #20771
BUORC — Clifford Cain WW-3 #11237
Thank you,
Lon T. Snider
Regional Supervisor
Winston-Salem Regional Office
Division of Water Resources
Department of Environmental Quality
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
336-776-9800
336-776-9700 Direct Line
lon. snider@ncdenr. gav
:'raa ^mt^' or ! n. Morn�ental Aul�'f
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Chen, Siying <[e-mail]>
Sent: Wednesday, May 4, 2022 11:36 AM
To: Snider, Lon <[e-mail]>; Graznak, Jenny <[e-mail]>
Cc: Corporon, Joe <[e-mail]>; Kinney, Maureen <[e-mail]>
Subject: RE: Draft NPDES Permit Review - NC0084832 Nikola's Restaurant & High Meadows Inn
WWTP
Hi Lon and Jenny,

Just want to follow up with you guys and see if you have any information about the missing ORC at
Nikola's Restaurant & High Meadows Inn WWTP?
Thank you!
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist
Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality
Email: siving.chenc ncdenr.gov
Phone: [phone] (Office)
E Ce)
4 1T 4
n1Ig * 1 pciau •
el I
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Kinney, Maureen <[e-mail]>
Sent: Monday, April 18, 2022 12:14 PM
To: Chen, Siying <[e-mail]>; Graznak, Jenny <jenny.graznakPncdenr.gov>; Snider,
Lon <[e-mail]>
Cc: Corporon, Joe <[e-mail]>
Subject: RE: Draft NPDES Permit Review - NC0084832 Nikola's Restaurant & High Meadows Inn
WWTP
No, nothing wrong with his certification. He's a designated backup ORC. This facility has had no ORC
of record in quite some time.
M cwwreevv Kbruney
NCDEQ/ DWR / PWS
NC Wastewater Operator Certification Program
919-707-9038
Correspondence to and from this address is subject to the NC Public Records Law and may
be disclosed to third parties unless the content is exempt by statute or other regulation.
From: Chen, Siying <siying.chenPncdenr.gov>
Sent: Monday, April 18, 2022 12:01 PM
To: Kinney, Maureen <[e-mail]>; Graznak, Jenny
<[e-mail]>; Snider, Lon <[e-mail]>

Cc: Corporon, Joe <[e-mail]>
Subject: RE: Draft NPDES Permit Review - NCOO84832 Nikola's Restaurant & High Meadows Inn
WWTP
Thank you Maureen! I checked on BIMS and it has Clifford Cain listed as the operator, is there
something wrong with his certification?
Jenny and Lon — Do you have any information on why this facility is missing an ORC?
Thank you!
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist
Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality
Email: [e-mail]
Phone: [phone] (Office)
NORTI l�l.ihli
Usperlarpent clpronlal
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Kinney, Maureen <[e-mail]>
Sent: Thursday, April 14, 2022 12:40 PM
To: Chen, Siying <[e-mail]>; Graznak, Jenny <[e-mail]>; Snider,
Lon <[e-mail]>
Cc: Thedford, Wren <wren.thedfordPncdenr.gov>
Subject: RE: Draft NPDES Permit Review - NC0O84832 Nikola's Restaurant & High Meadows Inn
WWTP
Classification looks okay however there is no ORC (since 2017??)
M cwwewe�K(vw e�y
NCDEQ/ DWR / PWS
NC Wastewater Operator Certification Program
919-707-9038
Correspondence to and from this address is subject to the NC Public Records Law and may
be disclosed to third parties unless the content is exempt by statute or other regulation.

From: Chen, Siying <[e-mail]>
Sent: Thursday, April 14, 2022 12:18 PM
To: Kinney, Maureen <[e-mail]>; Graznak, Jenny
<jenny.graznakPncdenr.gov>; Snider, Lon <Ion.sniderPncdenr.gov>
Cc: Thedford, Wren <[e-mail]>
Subject: Draft NPDES Permit Review - NC0084832 Nikola's Restaurant & High Meadows Inn WWTP
Hi all,
Attached is the draft permit for NC0084832 — Nikola's Restaurant & High Meadows Inn
WWTP. This is a WW-2 facility in Alleghany County. It will be submitted for Public Notice
on April 19, 2022. Please review and provide your comments, if any, to me in 30 days.
Thank you for your time and I'm looking forward to hearing back from you.
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist
Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality
Email: siying.chenPncdenr.gov
Phone: [phone] (Office)
rvf
impartment cI 91114111111
DEQ��
NOT!! i
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
Zdenko Peros
Attn: Zdenko Peros, Owner
PO Box 222
Roaring Gap, NC 28668-0222
Subject: Permit Renewal
Application No. NC0084832
Nikola's Restaurant WWTP
Alleghany County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
November 10, 2020
The Water Quality Permitting Section acknowledges the October 30, 2020 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deo.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Charles Weaver
Administrative Assistant
Water Quality Permitting Section
cc: Jessica Mize -Research & Analytical Lab., Inc.
ec: WQPS Laserfiche File w/application
S:
1 North Caro;ina Department of Environmenta3 Quality I Division of Water Resources
D�EQW rstonSaiem Regona Off. * 1450 Wit Hares M1I Road, Suitt 30D I W'mston.& em, North Carona 27105
tn. rsnY h+
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R ESEARCi1 & ANAFyTI CA1
LAbORATORIES, INC.
Analytical/Process Consultations
October 28, 2020
N.C. DENR
Division of Water Quality\
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NPDES Permit Renewal Application
Nikola's Restaurant & High Meadows Inn
Permit No. NC0084832
Allegany County
RECEIVED
NOV 0 5 2020
NCDEQIDWR/NPDES
Enclosed are one (1) signed original and two (2) copies of the NPDES Permit
Application: Form D requested renewal of NPDES Permit No.NC0084832 for the wastewater
treatment plant at Nikola's Restaurant & High Meadows Inn. There have been no significant
changes to the wastewater treatment facility.
If you have any questions concerning this application renewal, please so advise.
Sincerely,
Research & A nalytical Laboratories, Inc.
Jessica A. Mize
Authorized Agent
JM
Cc. Zdenko Peros
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina • 27284 • 336-996-2841 • Fax [phone]
www.randalabs.com

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit
NC0084832
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name Zdenko Peros
Facility Name Nikola's Restaurant & High Meadows Inn WWTP
Mailing Address P.O. Box 222
City Roaring Gap
State / Zip Code North Carolina/28668
RECEIVED
NOV 0 5 7020
NCDEQI©WRINPDES
Telephone Number [phone]
Fax Number ( )
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 10498 Highway 21 South
City Roaring Gap
State / Zip Code NC/ 28668
County Alleghany
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Research & Analytical Laboratories, Inc.
106 Short Street
Kernersville
NC/27284
[phone]
[phone]
[e-mail]
1 of 3
Form-D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ® Number of Employees 5
Residential ❑ Number of Homes
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Restaurant (120 seats)
Hotel (120 rooms)
Number of persons served: 1,000
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? E Yes
® No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Laurel Branch in Subbasin of the New River Basin
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS,
nitrogen and phosphorus. If the space provided is not sufficient, attach the description of
the treatment system in a separate sheet of paper.
*0.025 MGD wastewater treatment system
1. Aeration Basin with Diffused Air
2. Secondary Clarifier with Sludge Air Lifts and in -plant pumps
3. Chlorination
4. Dechlorination
2 of 3
Form-D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.025 MGD
Annual Average daily flow 0.003 MGD (for the previous 3 years)
Maximum daily flow 0.020 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for param"
eters currently in your permit Mark other ar t N A"
Parameter
Daily
Maximum
p ame
Monthly
Average
ers /
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
33.9
10.02
Mg/L
Fecal Coliform
5
1.13
Mg/L
Total Suspended Solids
15.2
7.6
Mg/L
Temperature (Summer)
24
19.89
°C
Temperature (Winter)
9.5
7.6
°C
pH
7.6
N/A
Standard Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Jessica Mize
Printed name of Person Signing
Signaf Applicant
Administrative Assistant , R & A Laboratories, Inc.
Title
/0736/gOACD
Date
North Caro General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3
Form-D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.025 MGD
Annual Average daily flow 0.003 MGD (for the previous 3 years)
Maximum daily flow 0.020 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for par
am"
eters currently in your permit Mark other ar t N A"
p ame ers /
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 33.9 10.02 Mg/L
Fecal Coliform 5 1.13 Mg/L
Total Suspended Solids 15.2 7.6 Mg/L
Temperature (Summer) 24 19.89 °C
Temperature (Winter) 9.5 7.6 °C
pH 7•6 N/A Standard Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Jessica Mize
Printed name of Person Signing
Administrative Assistant , R & A Laboratories, Inc.
Title
/0736/gOACD
Signat�xf���f Applicant Date
North Caro 'aGeneral Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3
Form-D 11/12

RESEARCI-I & ANA[yTICAL
LAbORATORIES, INC.
Analytical/Process Consultations
SLUDGE MANAGEMENT PLAN
Nikola's Restaurant & High Meadows Inn
WASTEWATER TREAMENT PLANT
NPDES PERMIT NO. NC0084832
Sludge from the Nikola's Restaurant & High Meadows Inn, wastewater treatment plant is
disposed of in the following way:
1. Sludge generated from High Meadows Inn WWTP through the activated sludge
process is removed periodically.
2. Since there is no on -site digester available for wasting, the plant is cut off and
allowed to settle for 24hrs.
3. Thickened sludge is then removed directly from the bottom of the aeration basin
by septic tank truck. Manifest documents are maintained to verify date of sludge
removal, volume pumped, location of approved facility (i.e. municipal WWTP)
receiving sludge, and cost of sludge hauling/disposal.
P.O. Box 473 • 106 Short Street • Kernersville, North Carolina • 272B4 • 336-996-2841 • Fax [phone]
www.randalabs.com

PAT MCCRORY
Water Resources
ENVIRONMENTAL QUALITY
June 20, 2016
Mr. James Cheshire
Research & Analytical Laboratories, Inc.
P.O. Box 1487
Kernersville, NC 27285-1487
Governor
DONALD R. VAN DER VAART
SecrernrI
S. JAY ZIMMERMAN
Director
Subject: Issuance of NPDES Permit NC0084832
Nikola's Restaurant & High Meadows Inn,
WWTP, Class WW-2
Alleghany County
Dear Mr. Cheshire:
The Division of Water Resources (the Division) hereby issues the attached NPDES permit for the
subject facility. This permit is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency dated October 15, 2007, or as subsequently amended.
We have made the following updates to your previous permit with no subsequent changes from the
draft permit mailed to you:
➢ Section A. (2) has been added to require electronic submission of effluent data. Federal
regulations require electronic submittal of all discharge monitoring reports (DMRs), effective
December 21, 2016.
➢ Regulatory citations have been added to the permit.
> An updated outfall map has been included.
Starting on December 21, 2016, federal regulations require electronic submittal of all discharge
monitoring reports (DMRs) and specify that, if a state does not establish a system to receive such
submittals, then permittees must submit DMRs electronically to the Environmental Protection
Agency (EPA). The final NPDES Electronic Reporting Rule was adopted and became effective on
December 21, 2015.
The requirement to begin reporting discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application has been added to your final
NPDES permit. [See A. (2)] For information on eDMR, registering for eDMR and obtaining an
eDMR user account, please visit the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr.
For more information on EPA's final NPDES Electronic Reporting Rule, please visit the following
web site:
http://www2.epa.gov/compliance/final-national-pollutant-discharge-elimination-system-npdes-
electronic-reporting-rule.
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable, you have the right to an adjudicatory hearing, upon written request submitted within
thirty (30) days after receiving this letter. Your request must take the form of a written petition
State of North Carolina I Environmental Quality I Water Resources
1617 Mail service Center I Raleigh, North Carolina 27699-1617
919 807 6300

conforming to Chapter 150B of North Carolina General Statutes, and you must file it with the Office
of Administrative Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless
such a demand is made, this permit shall remain final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Resources or
any other Federal, State, or Local governmental permits that may be required.
If you have questions, or if we can be of further service, please contact Jennifer Busam at
([e-mail]] or call [phone].
S. Jay Zimmerman, P.G., ]sec
Division of Water Resources, NCDEQ
Enclosure: NPDES Permit NC0084832 (Issuance Final)
hc: Central Files
NPDES Program Files
WSRO Files
ec: Nikola's Restaurant & High Meadows Inn, LLC [[e-mail]]
Mr. James M. Cheshire [[e-mail]]

Permit NC0084832
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other
lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control
Act, as amended,
Nikola's Restaurant 86 High Meadows Inn, LLC
is hereby authorized to discharge wastewater from a facility located at the
Nikola's Restaurant 86 High Meadows Inn WWTP
NC Highway 21
Roaring Gap
Alleghany County
to receiving waters designated as Laurel Branch (Laurel Creek) in subbasin 05-07-03 of the
New River Basin in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective August 1, 2016.
This permit and authorization to discharge shall expire at midnight on March 31, 2021.
Signed this day June 20, 2016.
Zimmerman, P.G., Director
ision of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NC0084832
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are
hereby revoked, and as of this issuance, any previously issued permit bearing this number
is no longer effective. Therefore, the exclusive authority to operate and discharge from this
facility arises under the permit conditions, requirements, terms, and provisions included
herein.
Nikola's Restaurant 86 High Meadows Inn, LLC
is hereby authorized to:
1. Continue to operate an existing 0.025 MGD extended aeration wastewater
treatment system with the following components:
• Aeration basin with diffused air
• Secondary clarifier with sludge air lifts and in -plant pumps
• Chlorination
• Dechlorination
This facility is located at the Nikola's Restaurant & High Meadows Inn WWTP
off of NC Highway 21, Roaring Gap, in Alleghany County.
2. Discharge from said treatment works via Outfall 001, at the location specified
on the attached map into Laurel Branch (Laurel Creek) [10-9-10-2)] currently
classified C-Trout waters in subbasin 05-07-03 [HUC: 0505000104] of the New
River Basin.
Page 2 of 6

Permit NC0084832
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
Beginning with the permit effective date and lasting until expiration, the Permittee is
authorized to discharge treated domestic wastewater from Outfall 001. Such
discharges shall be limited and monitoredi by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
Parameter Code
EFFLUENT LIMITATIONS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location
Flow 50050
0.025 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-day, (20°C) C0310
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids C0530
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N - *Summer C0610
11.0 mg/L
35.0 mg/L
Weekly
Grab
Effluent
NH3 as N - *Winter C0610
Weekly
Grab
Effluent
Fecal Coliform 31616
(geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Total Residual Chlorine 3 50060
28 pg/L
2/Week
Grab
Effluent
pH 00400
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
Oil and Grease 00556
30.0 mg/L
60.0 mg/L
Monthly
Grab
Effluent
Temperature (°C) 00010
Weekly
Grab
Effluent,
Upstream &
Downstream 2
Dissolved Oxygen 00300
Weekly
Grab
Effluent,
Upstream &
Downstream 2
*Summer. April 1- October 31
*Winter: November 1 - March 31
Footnotes:
1. No later than December 21, 2016, the permittee shall begin submitting discharge
monitoring reports electronically using the NC DWR's eDMR application system [see A.
(2)].
2. Upstream= at NC Highway 21 bridge. Downstream= at Mountain View Road bridge.
3. The Division shall consider all effluent TRC values reported below 50 pg/L to be in
compliance with the permit. However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory (including field certified), even
if these values fall below 50 pg/L.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER
THAN TRACE AMOUNTS.
Page 3 of 6

Permit NC0084832
A. (2) ELECTRONIC REPORTING OF MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports
(DMRs) and program reports and specify that, if a state does not establish a system
to receive such submittals, then permittees must submit monitoring data and reports
electronically to the Environmental Protection Agency (EPA). The final NPDES
Electronic Reporting Rule was adopted and became effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections
within Part II of this permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements 'Supersedes Section D. (2.) and Section E. (5.) (a)1
Effective December 21, 2016, the permittee shall report discharge monitoring data
electronically using the NC DWR's Electronic Discharge Monitoring Report (eDMR)
internet application.
Monitoring results obtained during the previous month(s) shall be summarized for
each month and submitted electronically using eDMR. The eDMR system allows
permitted facilities to enter monitoring data and submit DMRs electronically using
the internet. Until such time that the state's eDMR application is compliant with
EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be
required to submit all discharge monitoring data to the state electronically using
eDMR and will be required to complete the eDMR submission by printing, signing,
and submitting one signed original and a copy of the computer printed eDMR to the
following address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or
due to the facility being physically located in an area where less than 10 percent of
the households have broadband access, then a temporary waiver from the NPDES
electronic reporting requirements may be granted and discharge monitoring data may
be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by
the Director. Duplicate signed copies shall be submitted to the mailing address
above. See "How to Request a Waiver from Electronic Reporting" section below.
Page 4 of 6

Permit NC0084832
Regardless of the submission method, the first DMR is due on the last day of the
month following the issuance of the permit or in the case of a new facility, on the last
day of the month following the commencement of discharge.
Starting on December 21, 2020, the permittee must electronically report the
following compliance monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to
Request a Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1) (9), the permittee must identify the initial
recipient at the time of each electronic submission. The permittee should use the
EPA's website resources to identify the initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities
means the entity (EPA or the state authorized by EPA to implement the NPDES
program) that is the designated entity for receiving electronic NPDES data [see 40
CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic
reporting tool for each type of electronic submission and for each state. Instructions
on how to access and use the appropriate electronic reporting tool will be available as
well. Information on EPA's NPDES Electronic Reporting Rule is found at:
http: / / www2.epa.gov/ compliance / final-national-pollutant-discharge-elimination-
system-npdes-electronic-reporting-rule.
Electronic submissions must start by the dates listed in the "Reporting
Requirements" section above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To
obtain an electronic reporting waiver, a permittee must first submit an electronic
reporting waiver request to the Division. Requests for temporary electronic reporting
waivers must be submitted in writing to the Division for written approval at least
sixty (60) days prior to the date the facility would be required under this permit to
begin submitting monitoring data and reports. The duration of a temporary waiver
shall not exceed 5 years and shall thereupon expire. At such time, monitoring data
and reports shall be submitted electronically to the Division unless the permittee re-
applies for and is granted a new temporary electronic reporting waiver by the
Division. Approved electronic reporting waivers are not transferrable. Only
permittees with an approved reporting waiver request may submit monitoring data
and reports on paper to the Division for the period that the approved reporting waiver
request is effective.
Page 5 of 6

Permit NC0084832
Information on eDMR and the application for a temporary electronic reporting waiver
are found on the following web page:
http: / / deq.nc.gov/ about/ divisions/water-resources/ edmr
4. Signatory Requirements [Supplements Section B. (11.) (b) and Supersedes
Section B. (11.) (d)j
All eDMRs submitted to the permit issuing authority shall be signed by a person
described in Part II, Section B. (11.)(a) or by a duly authorized representative of that
person as described in Part II, Section B. (11.)(b). A person, and not a position, must
be delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an
eDMR user account and login credentials to access the eDMR system. For more
information on North Carolina's eDMR system, registering for eDMR and obtaining an
eDMR user account, please visit the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR
system shall make the following certification [40 CFR 122.22]. NO OTHER
STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared
under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on
my inquiry of the person or persons who manage the system, or those persons directly
responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are
significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
5. Records Retention [Supplements Section D. (6.)1
The permittee shall retain records of all Discharge Monitoring Reports, including
eDMR submissions. These records or copies shall be maintained for a period of at
least 3 years from the date of the report. This period may be extended by request of
the Director at any time [40 CFR 122.41].
Page 6 of 6

Nikola's Restaurant & High Meadows Inn, LLC
Nikola's Restaurant & High Meadows Inn WWTP
NPDES Permit NC0084832
Stream Segment: 10-9-10-2
River Basin: New
County: Alleghany
Stream Class: C-Trout
Sub -Basin #: 05-07-03
HUC: 0505000104
Receiving Stream: Laurel Branch (Laurel Creek)
SCALE
1:26,000
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Facility Location r��
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36.407778°,-80.994444°
USGS Quad: Roaring Gap